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Dr. Rakesh

Neurologist, Mumbai

160 at clinic
Dr. Rakesh Neurologist, Mumbai
160 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Rakesh
Dr. Rakesh is one of the best Neurologists in Bandra West, Mumbai. He is currently associated with Holy Family Hospital in Bandra West, Mumbai. Save your time and book an appointment online with Dr. Rakesh on Lybrate.com.

Find numerous Neurologists in India from the comfort of your home on Lybrate.com. You will find Neurologists with more than 40 years of experience on Lybrate.com. You can find Neurologists online in Mumbai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Hindi

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Holy Family Hospital

St Andrews Road, Near St Peter's Church, Hill Road, Bandra West, MumbaiMumbai Get Directions
160 at clinic
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I'm feeling seek from few days. I'm suffering from decently. With fever. I need a sexologiest. My memory is seriously injured. My heart is very weak.I have fat man but l feel very weak.

DIPLOMA IN DIABETES (U.K), M.D INTERNAL MEDICINE, MBBS
Endocrinologist, Chennai
I'm feeling seek from few days. I'm suffering from decently. With fever. I need a sexologiest. My memory is seriously...
Relax. Relax. And you will get good energy. And also you need counselling. And also other measures like healthy food.
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My father recently suffered a minor attack. He had suffered a paralytic attack around 5 months back. What is the recommended future course of action.

FRHS, Ph.D Neuro , MPT - Neurology Physiotherapy, D.Sp.Med, DPHM (Health Management ), BPTh/BPT
Physiotherapist, Chennai
DO have proper follow up with Neuro Physician and Neuro Physiotherapist and take appropriate Therapy Best Wishes
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Hi. I'm suffering from insomnia from 5 years. I have consulted many doctors but it became worse. I stopped medicine's from 6 months. I'm sleeping 3-4 hours. But from 1 week I'm not sleeping at all. Please suggest me some natural way.

MBBS
General Physician, Mumbai
Hi. I'm suffering from insomnia from 5 years. I have consulted many doctors but it became worse. I stopped medicine's...
Tip- I will suggest you to take a shower with warm water or just wash your face , forearms , legs with soap and water at bedtime for a peaceful sleep
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My husband is suffering from cold and flu. Since 3 days. He is taking paracetamol but he is still not feeling well. Today he is shivering too. Doctor please suggest what should I do. Any home remedy for today. Tomorrow will go to near by clinic. Is this common flu or any thing else.

BAMS
Ayurveda, Bangalore
My husband is suffering from cold and flu. Since 3 days. He is taking paracetamol but he is still not feeling well. T...
Hi, The following are some of the natural remedies for cold and cough: - Add a pinch of turmeric and 1/4 tsf of black pepper powder to hot milk and drink it twice a day. - Mix 1 tsf of honey to 1 tsf of basil leaf juice; take it twice a day. - Prepare a decoction by boiling one glass of water containing 1 tsf of coriander powder, 1 tsf of pepper powder and 1/2 tsf of ginger powder; reduce it to quarter glass and take it three times a day. - Apply turmeric paste on the forehead. - Do steam inhalation twice a day by adding 1-2 drops of eucalyptus oil to hot water. - Keep 1 grain of crystal salt and 2-3 black pepper in a beetle leaf, roll it and chew it. This relieves cough.
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Having white discharge, is it possible to have it because of ovarian cyst because I have one ovarian cyst in right ovary of 4 cm and pcod in other ovary, I also have generalized epilepsy.

DRCH, BHMS
Homeopath, Bareilly
Pcod does not has symptoms of white discharge, it is usually due to infection of genital tract. Maintain proper hygiene. Visit to gynaecologist if it is troublesome.
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I am 59 yrs pro musician recently I am suffering from nerve problem, as I cant work properly with my left hand. Please suggest some remedy for this.

General Physician (AM)
Alternative Medicine Specialist, Chandigarh
Requires detailed questioning so as to ascertain your personality and to treat you symptomatically. Consult me in private.
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Age 75. He got paralytic attack 3 days before in left side. Because of immediate treatment he survived. Can not stand but has movement in all organs. He has high b. P. Sugar is on little higher side but controlled. Please advise how to care also suggest diet according to his condition. He is very week. thanks all.

DM - Neurology
Neurologist, Rajkot
Age 75. He got paralytic attack 3 days before in left side. Because of immediate treatment he survived. Can not stand...
He has to undergo physiotherapy and get his bp and sugars checked regularly. Diet should be balanced with more protiens and less fat specially foods containing oil, butter and sugars. Depending on the type of stroke, he may require blood thinners.
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I am from Mumbai .I'm suffering from migraine since last 2 or 3 months .Dr. Please Can you make me sure that what is the treatment for this?

MBBS, MD Psychiatry, DNB Psychiatry
Psychiatrist, Nagpur
Migraine is a kind of relapsing headache. Its symptoms include - episodic unilateral or bilateral, severe and pulsating headaches, associated at times with nausea and vomiting, relieved momentarily on rest or taking medications and aggravated by precipitating factors. The treatment of migraine is mainly done for relief from acute headache attacks and later treatments to prevent future relapses. Also treatment of factors which tend to cause relapses is also important. Consult a headache specialist for a composite and complete treatment. You may contact me online for further queries and assistance in treatment in this regard.
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Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

BPTh/BPT, MPTh/MPT
Physiotherapist, Noida
Best Physiotherapy/Rehab Exercises for Cerebral Palsy/Delayed Milestones

CEREBRAL PALSY

Cerebral palsy is a term used to describe a broad spectrum of motor disability which is non-progressive and is caused by damage to brain at or around birth. It is a disorder which develops due to damage to CNS and this damage can take place before, during, or immediately after the birth of the child. The damage won't worsen but remains constant. However the child may appera to worsen if not given proper intervention not because of an increase in lesion in the brain but just beacuse the damaged brain is not able to cope up with the physical demand of the growing body and the increasing demand of the environment surrounding the child.

CAUSES:

ANTENATAL CAUSES:

  • Genetic causes: First or second degree consanguineous marriage.
  • Intrauterine virus infection: Rubella and cytomegalovirus infections which lead to severe brain damage along with associated visual and hearing problem with cataract.
  • Hypoglycemia: Low blood sugar for long period lead to brain damage and epilepsy. Cerebellum is more vulnerable leading to ataxia and visual problems. Infant of diabetic mothers are more prone to hypoglycemia.

Trauma to the mother:

  • Infection to the mother can make the baby prone to develop it.
  • Malnourishment of the fetus especially in case of twins.
  • Exposure to the mother’s abdominal area to repeated X-ray radiation, prolonged use of medications like steroids by mother.

NEONATAL CAUSES:

  • Prematurity: Premature babies are prone to brain damage either due to trauma during delivery and later on due to immature respiratory and cardiovascular system. Therefore, they are likely to develop hypoxia and low blood pressure also, they are more likely to develop low blood sugar, jaundice and hemorrhage because of liver immaturity.
  • Vascular causes: Occlusion of the internal carotid or midcerebral artery during birth can on many occasions lead to hemiplegia.
  • Trauma: trauma can occur either due to disproportion, breech delivery, and forceps delivery, distortion of head and tearing of tentorium.
  • Asphyxia: It can occur by accidents and burns which could be as a result of knotted umbilical cord, cord around the neck or prolapsed cord. Multiple deliveries can cause asphyxia of the second or third infant.
  • Neonatal meningitis: Usually associated with severe residual brain damage.

POSTNATAL CAUSES:

  • Delayed cry: Causes asphyxia to the brain causing CP.
  • Severe jaundice: Presence of high levels of bilirubin cause basal ganglia damage leading to athetoid cerebral palsy and high tone deafness.
  • Trauma: Fall of the body after birth.
  • Infection: Like meningitis, or encephalitis can cause brain damage.

TYPES OF CEREBRAL PALSY:

  1. Basically cerebral palsy children manifest in three common ways spastic, athetoid, and ataxic.
  2. Spasticity seen in cerebral palsy is usually knife that may change with change in position, which means that spasticity may vary from supine to prone.
  3. Athetoid cerebral palsy children exhibits slow, purposeless, wormlike, involuntary movements which flow into each other. It occurs due to basal ganglia damage commonly seen in children who suffers from an attack of jaundice following birth.
  4. Ataxia in cerebral palsy occurs due to cerebellar damage. Both balance and coordination is affected.

 

PHYSIOTHERAPY TREATMENT OF CEREBRAL PALSY

  1. Physiotherapy is one of the most important treatments for CP that usually begins soon after being diagnosed and often continues throughout life. Special devices and equipment are needed for some people with CP to help them with specific problems like,
  2. A child who develops uneven leg length may need to wear special shoes with a higher sole and heel on the shorter leg.
  3. Some people who are not able to walk alone may need to use canes, crutches, walkers, or wheelchairs.

 

EXERCISES IN SUPINE POSITION

Normalizing tone of the muscles: For cases with hypo tonicity slow passive movements, sustained stretch, cryotherapy over the muscle for 15 to 20 minutes, stimulation of antagonist movement and vibrations are used. On the contrary, for cases with hypotinicity weight bearing, joint compression, rhythmic stabilization, vibrations, cryotherapy in brisk manner and taping can be used.

Weight bearing exercises: Weight bearing exercises are necessary to promote development of tone in muscles and also to maintain the absorption of calcium into the bones. Thus the patient should be given activities like bridging, supine on elbows, sitting with weight bearing on the affected arm, and standing should be given as soon as possible within the limitation of the patient’s general medical status..

Skillful TAPING gives a tactile feedback which helps in faster development of tone in the muscles. Weight bearing exercises for the involved upper limb has also been found to be beneficial in preventing this.

Bridging Exercises: The child lies on supine position. Therapist flexed his both the knees n then helps him to lift his back from the mid area so that weight bear on his legs. This should be done in 10 -15 repetitions. Then do bridging on 1 leg and then another.

Stretching and Mobility: The muscles should be maintained at the appropriate physiological length for normal muscle control and normal postural adjustment. In CP because of delay or absence of normal movement muscles are usually in a shortened position hence stretching of the muscles is essential to increase the neuromuscular control. Length of the muscles should be maintained not only through stretching but also through various functional activities.

In supine position, the therapist holds an object so that the child grasp that object by moving his body, in this rolling activity plays an important role. The child rolls right and left to grasp the object sometimes lifting his back and limbs too.

The therapist do some exercises in vestibular ball so that child balance and coordination improves and this is the best spine stretching activity.

Good neck control and developing trunk control by using vestibular ball, he lied down in ball and doing movements that extend his spine and head is looking in upward direction.

EXERCISES IN SITTING

The therapist should hold and support the child in sitting position. Time should be noted daily.

Exercises in vestibular ball to correct the balance. Sit on the vestibular ball and then shift the weight from right side to left side by rolling the ball.

Reaching far objects: As the child sitting in the ball then the therapist should stand in front of him and tell him to reach the object that the therapist holds.

Sit to stand activities and kneeling activities, sit on the toes, sitting by cross leg by maximize wide base of support

EXERCISES IN STANDING

STANDING IN BOTH THE LEGS: The therapist should hold his knees while standing as the child flex his knees and forward trunk to avoid standing.

SQUATTING: The therapist should try and help the child to do some squats about 5 to 10 daily to increase the muscle power and strength.

WALKING with the help of therapist or a cane and use a tilt board for balancing exercises.

Standing on the side of vestibular ball and do reaching objects so that the child lifts his head in upward position for increasing the extension of neck i.e. neck control.

Developing postural reaction: Postural adjustments are essential if the child is move to move freely and to adjust to various environmental demands rapidly. Motor milestones can be best achieved by good postural reactions. Postural reactions consists of righting reactions, protective extension and equilibrium reactions. Initially children first develop righting reactions. Righting reactions allow the child to orient his head in space so that the eyes and mouth are horizontal regardless of the position of the body. It also helps in maintaining the proper alignment of the head with respect to the body.

Oromotor control training: Oromotor function depends on good head control. Common Oromotor problems are: drooling, problems in sucking, swallowing, body movements associated with speech, jaw, hyper or hyposensitivity and inadequate tongue movements. Hence the therapy should consist of good neck control, developing good trunk control, use of brush to decrease drooling.

Speech therapy helps to control the mouth muscles. This therapy can be of great benefit to children with speech or eating problems. Speech therapy often starts before the child begins school and continues throughout the school years.

Both massage therapy and physiotherapy benefit some people with CP by helping them relax tense muscles, strengthen muscles and keep joint flexible.

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I am 22 years old. In past I had a migraine problem now I overcome that problem. Now I started a problem of cervical. From last month have a regular pain in my head. Behind the ears, neck everything pain is very bad please suggest me what to do and to whom I should concern.

MBBS
General Physician, Cuttack
I am 22 years old. In past I had a migraine problem now I overcome that problem.
Now I started a problem of cervical....
1. Take one tablet of crocin pain relief sos after food upto a maximum of 3 tablets daily 2. Apply volini gel twice daily 3. Give warm compress locally 4. Take rest if you have recurrent attack of neck pain a) take x ray/mri cervical spine to exclude spondylitis and consult orthopedic specialist b) sometimes it could be due to bad sitting posture while reading or working on computer. Adopt proper sitting posture, put neck rest, use soft pillow while sleeping c) do physio therapy and neck exercise after consulting physiotherapist.
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Sir/Madam, There is a continuous numbness in my left hand and also sometimes I get pain in foot. And also I started loosing body weight what are the causes for this problem? Some say these are the symptoms of diabetes. Is that true?

Diploma in Diabetology, Pregnancy & Diabetes, Hypertension, Cardiovascular Prevention in Diabetes ,Thyroid
Sexologist, Sri Ganganagar
Sir/Madam, There is a continuous numbness in my left hand and also sometimes I get pain in foot. And also I started l...
It may be due to hight blood pressure and high cholesterol. Donot worry at all. Discuss with neuro-physician. Get your sugar also tested.
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What are the reasons for paralysis and what are the measures to be taken to prevent paralysis.

MBBS
General Physician, Mumbai
Whenever there is decreased blood supply to the brain due to obstruction with a atherosclerotic plague we can get paralysis and so for preventing it always get your bp under control and eat low fat content in your diet.
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I am 26 years old, can you suggest me how to treat migraine and I also have hormone disbalance, what shall I do, suggest some Ayurvedic medicine, or homemade remedies.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Chennai
Hi, Migraine can be triggered by a variety of causes, most common causes are certain food items, lack of sleep or any lifestyle issues. First step towards management of Migraine would be avoiding such triggers. Home remedies would not be a cure for issues like migraine. If the correct type of Migraine is identified, most of the issues can be usually in 3-4 months. Wish you the best Take care.
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My hands and cheeks are shivering most of the time. Two years before I consulted a Dr. in med college and they said this because of essential tremor. Can you pls help me?

BAMS
Ayurveda, Ambala
To get relief from shaking of hands * give a balanced diet with vegetables, cereals, milk, fruits. Sit in the sun rays for atleast 8-10 minutes daily. * do bhramari pranayam twice a day. Practice sarwangasan and sit with the gyan mudra in hands. These asans & mudra calm down your brain & relieve from nervousness & restlessness. * take rogan badam (almond oil) and put it 1/2 tea spoon in a glass of milk and drink it in the morning. * take 2 teaspoon of ashvagandharistha added in a glass of water once a day
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I have a problem of tremor sometimes rigidity so I am thinking I am having problem slurred speech also so I am thinking I am having problem of cerebrovascular accidents so please tell me what I have to do about this.

MD - Pathology
General Physician, Amritsar
See a neurologist right away, not to be taken lightly. Some times there are transient ischaemic attacks, which come and go in a short time. They need to investigated thoroughly.
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I am 45 years old female. I am feeling vibrations in the lower portion of my body, its like a cell phone vibration. please tell me?

MBBS
General Physician, Mumbai
If you r feeling vibrations in lower portion of the body that means one of the nerve roots in the vertebrae is being compressed. For further guidance you can personally contact us.
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What are the clinical manifestation of parkinsonism, The person also have diabetes mellitus, hypertension, chronic kidney disease and congestive heart failure.

M.Sc - Psychology, MBA (Healthcare)
General Physician, Kangra
What are the clinical manifestation of parkinsonism,
The person also have diabetes mellitus, hypertension, chronic ki...
parkinsonism mainly manifest as slowness due to increased muscle tone..patient has slowness in walking slowness in eating..he or she has generalised bodyaches, heaviness in body. facial expressions decreases so much dat face appears as mask....most important feature is tremulousness of the limbs tremors will first appear in one limb then progress to involve other limbs...slowly slowly body become rigid and patient has difficulty in walking..and later on patient can become bed bound...
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